Residency Process
Residency Process

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Residency Match Program

The National Resident Match Program (NRMP) is a national placement service that most programs and applicants participate in, as it greatly optimizes the chances of getting a residency position.  Students apply to programs through ERAS then must also participate in the NRMP in order to match with one of those programs. Students may begin their ERAS application in July and begin submitting them between September and each program’s autumn or winter deadline.



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To be eligible to participate in the NRMP, students must sit for the USMLE Step 1 and Step 2 CK and CS by December of the year prior to which they wish to enter residency training. Students must also be scheduled to graduate from medical school on or before May 31st of the match year.


After applying to the NRMP, students must apply to each residency program in which they are interested and go on interviews. In February, students must submit a “rank order list” to the NRMP.


The rank order list is a list of the programs where students interviewed, ranked from most to least desirable. Simultaneously, all residency programs submit their rank order lists of the candidates they interviewed.


Computerized matching process begins and results are released in March. If a student matches to a specific program, it is a binding contract. Students normally begin in their respective programs on or before July 1.


If a student fails to match or is not eligible to enter the NRMP, the student can still apply to residency programs to obtain a position “outside the match”. Students who participated in NRMP but did not match will be sent a publication listing all unfilled residency positions.


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NRMP (National Resident Matching Program) and CaRMS


Like students from U.S. medical schools, UMHS students apply for residencies through the NRMP (National Resident Matching Program) in order to obtain a position, or “Match,” in the United States.  Canadian UMHS students have the option of applying to CaRMS (the Canadian Residency Matching Service) alternatively, or in addition to, the United States NRMP program.


Students prepare and submit applications to ERAS (the Electronic Residency Application Service) in the summer and fall prior to their match year in order to interview with prospective programs between September and January.   


In February, students submit “rank” lists of their preferred programs to the NRMP and CaRMS. Similarly, programs submit lists of their preferred applicants. Both the NRMP and CaRMS then apply an algorithm to determine a match based on those preferences, releasing those results to students in March, prior to graduation. 

Requirements for Beginning Residency: Although students apply to residencies during their fourth year, in order to begin practice in a United States program, students must pass the USMLE Step 1, the USMLE Step 2 CK & CS, complete the UMHS clinical curriculum, and receive their diploma and ECFMG certification. 

A certificate from ECFMG (the Educational Commission for Foreign Medical Graduates) ensures a foreign medical school and its students have achieved a comparable acumen to United States institutions and meet the standard expected from United States residency programs. 

Canadian students are also required to pass the MCCEE (Medical Council of Canada Evaluating Examination) and the NAC examination (the National Assessment Collaboration) in order to meet the requirements of most Canadian residency programs. 


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